Provider Demographics
NPI:1457537953
Name:DRS. BULLOCK & POWELL, LLC
Entity type:Organization
Organization Name:DRS. BULLOCK & POWELL, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INSURANCE BILLING
Authorized Official - Prefix:MRS
Authorized Official - First Name:NANCI
Authorized Official - Middle Name:K
Authorized Official - Last Name:CASE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:541-998-8147
Mailing Address - Street 1:582 LAUREL ST
Mailing Address - Street 2:
Mailing Address - City:JUNCTION CITY
Mailing Address - State:OR
Mailing Address - Zip Code:97448-1271
Mailing Address - Country:US
Mailing Address - Phone:541-998-8147
Mailing Address - Fax:541-998-3568
Practice Address - Street 1:582 LAUREL ST
Practice Address - Street 2:
Practice Address - City:JUNCTION CITY
Practice Address - State:OR
Practice Address - Zip Code:97448-1271
Practice Address - Country:US
Practice Address - Phone:541-998-8147
Practice Address - Fax:541-998-3568
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-14
Last Update Date:2008-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental